<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>友邦保险</title>
<link href="master.css" type="text/css" rel="stylesheet" />
<link rel="stylesheet" type="text/css" href="css/validationEngine.jquery.css" />
<script type="text/javascript" src="js/jquery-1.6.min.js"></script>
<script type="text/javascript" src="js/jquery.validationEngine-zh_CN.js" charset="UTF-8"></script>
<script type="text/javascript" src="js/jquery.validationEngine.js"></script>
<script type="text/javascript" src="js/citycodes.js" charset="UTF-8"></script>
<script type="text/javascript" src="js/aiabase.js" charset="UTF-8"></script>
</head>
<body>
	<div class="bigdiv">
		
		<div class="top">
			<div class="topLeft">
				<!-- a big image -->
				<img src="images/topLeft.jpg" alt="" class="topLeftImage" />
			</div>
			<div class="topRight">
				<!-- a gif image -->
				<div>
					<img src="images/topRight.jpg" alt="" class="topRightImage" />
				</div>
				<div class="hint"></div>
				<!-- form start -->
				<form id="form1">
			<input type="hidden" name="QNXE_FROM" value="HYB"></input>
				<div class="tb_parent">
					<table border="0" cellspacing="0" cellpadding="0">
	
	
		
	
	
	
	<tr>
		<td class="ltd"><span class="redstar">*</span>
			
			姓名 
		:</td>
		<td class="rtd">
		<input id="QNXE_NAME" name="QNXE_NAME"
		       class="validate[required,custom[chinese]] fm_txt" type="text"></td>
	</tr>
	
	<tr>
		<td class="ltd"><span class="redstar">*</span>
			
			性别 
		:</td>
		<td class="rtd"><input name="QNXE_SEX" id="QNXE_SEX1" class="validate[required] " type="radio" value="M" checked="checked"
								style="margin-right: 3px;" /> 男 <input name="QNXE_SEX" id="QNXE_SEX2" class="validate[required] " type="radio" value="F"
								style="margin-right: 3px; margin-left: 15px;" />女</td>
	</tr>
	
	
	
		
	
	
	<tr>
		<td class="ltd"><span class="redstar">*</span>
			
			年龄 
		:</td>
		<td class="rtd">
			<select id="QNXE_BIRTH"  name="QNXE_BIRTH" class="validate[required] fm_select">
				<option value="" >请选择</option>
				<option value="0">0</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> <option value="32">32</option> <option value="33">33</option> <option value="34">34</option> <option value="35">35</option> <option value="36">36</option> <option value="37">37</option> <option value="38">38</option> <option value="39">39</option> <option value="40">40</option> <option value="41">41</option> <option value="42">42</option> <option value="43">43</option> <option value="44">44</option> <option value="45">45</option> <option value="46">46</option> <option value="47">47</option> <option value="48">48</option> <option value="49">49</option> <option value="50">50</option> <option value="51">51</option> <option value="52">52</option> <option value="53">53</option> <option value="54">54</option> <option value="55">55</option> <option value="56">56</option> <option value="57">57</option> <option value="58">58</option> <option value="59">59</option> <option value="60">60</option> <option value="61">61</option> <option value="62">62</option> <option value="63">63</option> <option value="64">64</option> <option value="65">65</option> <option value="66">66</option> <option value="67">67</option> <option value="68">68</option> <option value="69">69</option> <option value="70">70</option>
			</select>
		</td>
	</tr>
	
	<tr>
		<td class="ltd"><span class="redstar">*</span>
			
			省市区 
		:</td>
		<td class="rtd" style="padding-top:5px">
			<select id="province_id" name="QNXE_PROVINCE"  class="validate[required] fm_select3" >
      <option value="">请选择</option>
    </select><span class="fm_label">省/直辖市</span><br />
	
	
	<select id="city_id"  name="QNXE_CITY" class="validate[required] fm_select3" >
      <option value="">请选择</option>
    </select><span class="fm_label">市</span><br />
	
	<select id="dist_id"  name="QNXE_DISTRICT" class="validate[required] fm_select3" >
      <option value="">请选择</option>
    </select><span class="fm_label">区域</span>
		</td>
	</tr>
	
	<tr>
		<td class="ltd"><span class="redstar">*</span>
			
			手机号码 
		:</td>
		<td class="rtd">
		<input id="QNXE_PHO" name="QNXE_PHO"
		       class="validate[required,custom[chinamobile]] fm_txt" type="text"></td>
	</tr>
	
	
						<tr>
							<td class="ltd">&nbsp;</td>
							<td class="rtd">
								<a id="submitLink" href="javascript:void(0)" class="btn" >
								</a>
							</td>
						</tr>
					</table>
				</div><!-- End of tb_parent -->
				</form><!-- form end -->
			</div><!-- topRight end -->
			
			<div class="clear"></div>
			<div class="topLine"></div>
		</div>
		<form id="form1">
			<input type="hidden" name="QNXE_FROM" value="HYB"></input>
		<div class="content">
			<div class="left">
				<div class="left_inner">
				<div class="nofont" style="height:14px;"></div>
				<div id="mydot">
		  				<table class="mydot_table" 
		  				       style="width:100%; height:32px; font-size:12px; " 
		  				       width="100%" border="0" cellspacing="0" cellpadding="0">
						  <tr>
						    <td align="left" width="20%" class="mydot_td mydot_act_td" >	
						       <div class="mydot_words" ></div>
						       <input type="hidden" class="mydot_hidden" value="init" />
							</td>
						    <td valign="top" align="left" width="20%" class="mydot_td" style="height:32px; ">	
						       <div class="mydot_words" ></div>
						       <input type="hidden" class="mydot_hidden" value="init" />
							</td>
						    <td valign="top" align="left" width="20%" class="mydot_td" style="height:32px; ">	
						       <div class="mydot_words" ></div>
						       <input type="hidden" class="mydot_hidden" value="init" />
							</td>
						    <td valign="top" align="left" width="20%" class="mydot_td" style="height:32px; ">	
						       <div class="mydot_words" ></div>
						       <input type="hidden" class="mydot_hidden" value="init" />
							</td>
						    <td valign="top" align="left" class="mydot_td mydot_last_td" style="height:32px; ">	
						       <div class="mydot_words" ></div>
						       <input type="hidden" class="mydot_hidden" value="init" />
							</td>
						  </tr>
						  </table>
			  		
		  		</div>
			
			<div class="pic_item_parent">
				
			  		
						<div class="pic_item">
						    <img src="../dbImage.jsp?id=demo1"  />
					  		<div class="myword">
					  		 进可攻退可守
					  		</div>
					  	</div>
					
						<div class="pic_item">
						    <img src="../dbImage.jsp?id=demo2"  />
					  		<div class="myword">
					  		 资金来源
					  		</div>
					  	</div>
					
						<div class="pic_item">
						    <img src="../dbImage.jsp?id=demo3"  />
					  		<div class="myword">
					  		 投资运作
					  		</div>
					  	</div>
					
						<div class="pic_item">
						    <img src="../dbImage.jsp?id=demo4"  />
					  		<div class="myword">
					  		 不仅是理财
					  		</div>
					  	</div>
					
						<div class="pic_item">
						    <img src="../dbImage.jsp?id=demo5"  />
					  		<div class="myword">
					  		 稳赢一生的选择
					  		</div>
					  	</div>
					
			  	
		  	</div>
           	 </div><!-- End of Left_inner -->
            </div><!-- End of Left -->
			<div class="right">
				
				
				
					<div class="nofont height10"></div>
				
				
			</div>
			<!-- End of right -->
			<div class="clear"></div>
		</div>
		<!-- End of content -->
		</form>
	</div>
	<!-- End of bigdiv -->
	
<div id="loading" style="border: 2px solid #888888; background-color:#be0f34; padding:5px 20px; width:70px; color:#FFFFFF; position:absolute;top:10px; right:10px; left:auto; bottom:auto; z-index:999999; text-align:center; display:none">
正在处理...
</div>
</body>
</html>